Job DescriptionApplication open: Friday, March 14, 2025
Application close: Friday, March 21, 2025, at 12p/noon PDT
Cohort start date: Monday, August 18, 2025
New Graduate RN Residency Program Page
Program Requirements - Fall 2025 Cohort:- Must be a Graduate of a Bachelor of Science in Nursing (BSN) or Master's - level practice program accredited by the ACEN or CCNE, with a degree conferral date between June 1, 2024, and June 30, 2025.
- Must hold current unencumbered Registered Nurse licensure, issued by the State of California, by August 11, 2025. Note: Interim permits are not accepted
- Must hold current Basic Life Support Certification, issued by the American Heart Association (AHA), by August 11, 2025.
- May not have any paid work experience as a Registered Nurse (RN) at program start.
- Must have a 3.5 or above cumulative grade point average (G.P.A.) on a 4.0 grading scale. Note: Rounded to the nearest tenth.
- Must be willing to commit to a one (1) year Residency Program.
Program Applicant Documentation - Fall 2025 Cohort:- Current Resume.
- Nursing program transcripts. Note: U nofficial copies are accepted.
- Clinical Hours Table . Note: Linked table template must be populated and submitted as a standalone document.
- Two (2) signed letters of recommendation ("wet" or electronic signature). Note: A maximum of two (2) letters are accepted.
- One (1) of the signed letters of recommendation must be written by a Clinical Nurse Preceptor.
* If offered placement with the RN Residency program, shift assignment is determined by the hiring department. Finalists will be notified of shift assignment, at time of offer extension, and will consent to the offer in writing. *
JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job.
The Clinical Nurse I is a newly licensed new-to-practice RN or RN with less than 12 months as a Registered Nurse that demonstrates basic safe practice within the organizational professional practice model. The Clinical Nurse I seeks guidance to integrate concepts, knowledge, skills and attitudes to meet standards for competent professional nursing practice as specified in the Clinical Nurse I job description addendum and exhibits core values which reflect its mission.
The Clinical Nurse I is accountable for the provision of direct care to patients who may range in age from infancy to adult and demonstrates within the competency domains of Evidence Based Practice and Research, Safety, Professionalism, Person and Family Centered Care, Leadership, Technology/ Informatics, Teamwork and Continuous Quality Improvement.
The Clinical Nurse I works closely with the inter-professional health care team to facilitate the coordination of care across the continuum. The nurse focuses on developing the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age appropriate considerations of assigned patients.
The Clinical Nurse I requires consultation with more experienced clinicians and benefits from feedback while demonstrating growth in the ability to care for increasingly complex patients. The nurse demonstrates how nursing practice impacts the organizational vision, mission, and goals and the care delivery system. The nurse complies with all regulations and standards of regulatory and accrediting bodies.
ESSENTIAL FUNCTIONS The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned.
Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings.
Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct.
* PATIENT AND FAMILY CENTERED CARE - Recognizes the patient (or the patient's designee) as the source of control and full partner in providing compassionate and coordinated care based on respect for the patient's preferences, values, and needs.
- Seeks to develop and understand effective communication with patients and families regarding the clinical plan of care and care development process
- Engages patients and families in active partnerships to plan and deliver care
- Is aware of and is able to locate all advance care planning documentation, and knows the decision maker for their patients in the event that patients cannot speak for themselves
- Fosters a healing environment for patients and families
- Keeps the patient and family at the center of all decisions
- Assesses patient's and family's ability and readiness to learn, and adapts the teaching plan considering patient level of comprehension, style of learning from the point of entry through discharge
- Completes comprehensive systematic assessment relevant to practice setting
- Integrates clinical reasoning and knowledge as the foundation for decision-making
- Manages patient care assignments appropriate to skill level
- Identifies cultural needs and perspectives in the relief of pain, discomfort, and suffering
- Incorporates cultural competence, diversity, and inclusion into practice
- Views each patient as a unique person
- Balances patient's rights and organization's responsibilities in providing professional and ethical care
- Utilizes ethical, legal, and regulatory principles in the provision of care
- Assumes responsibility and authority for establishing a therapeutic relationship with the patient/ family and creating an individualized plan of care, and evaluates patient's response and intervenes to ensure optimal patient outcomes.
- Promotes family presence and participation with care in accordance with patient preferences
* EVIDENCE BASED PRACTICE AND RESEARCH - Evaluates and integrates best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care and system effectiveness.
- Elicits and respects patient and family values when considering EBP decisions
- Participates in data collection, research or both
- Consults with experts when the basis for practice is questioned
* SAFETY - Minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance.
- Recognizes and responds appropriately to unsafe situation, and to patient and family safety concerns
- Is able to articulate the appropriate documentation of unsafe events and propose solutions to correct future occurrences
- Communicates concerns related to safety risks to patients, families and the health care team
- Integrates safety principles and National Patient Safety Goals into own practice
- Uses available resources to prevent injury
- Recognizes own limitations and seeks assistance when indicated
- Utilizes and discusses policy, procedures, and guidelines to support practice.
- Uses organizational error reporting systems for near miss and error reporting
- Administers medications and executes regimens as authorized by the state licensure to ensure the best possible outcomes for patients
- Applies use of technology and standardized practices that support safety and quality
- Practices autonomously within their scope as defined by the CA State Board of Nursing and the American Nurses Association Scope and Standards of Practice, including standards for safe medication administration
- Delegates work appropriately and provides direction and guidance to clinical support personnel
- Acknowledges and discusses risks associated with transitions
- Promotes active patient and family partnership and engagement in care to promote safety
- Integrates appropriate training and processes for related point of care laboratory testing
* CONTINUOUS QUALITY IMPROVEMENT - Utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable.
- Recognizes how data is used in QI efforts
- Describes the use of PQMS/QI processes
- Understands how unit quality affects system effectiveness
- Participate as a team member on a performance improvement project
- Describes and uses outcome data at the patient level to make care decisions.
* TEAMWORK - Effectively engages in the process of cooperation, coordination, and collaboration in their efforts to provide for safe, quality outcomes for patients within an inter and intra-professional teams, including virtual teams.
- Interacts effectively with patients, families, nursing and inter-professional teams, fostering open communication, mutual respects, and shared decision- making to achieve quality patient care.
- Initiates referrals
- Functions as the coordinator of the patient's plan of care and applies communication practices that minimize risks across transitions of care.
- Recognizes the impact of his or her behavior on others
- Embraces the cultural diversity and individuality of health care team members
- Acknowledges own contributions to effective and ineffective team functioning
- Uses respectful language appropriate for a given difficult situation, crucial conversation, or inter-professional conflict
- Demonstrates active engagement in enhancing patient care and promoting a positive workplace environment
- Solicits input from other team members to improve individual and team performance
* TECHNOLOGY/INFORMATICS - Utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum.
- Demonstrates the ability to use clinical systems and technology to accomplish a specific task
- Protects patient confidentiality
- Documents and plans patient care in an EMR
- Consistently provides accurate, timely and complete documentation in the EMR
- Consistently utilizes the EMR to communicate with the care team and evaluate patient needs
- Identifies and responds appropriately to clinical decision support notifications and alerts
- Takes part in risk evaluation and understands the legal implications of late and inaccurate EMR documentation
* PROFESSIONALISM - Demonstrates a commitment to the nursing profession through life-long learning, adherence to the ANA Code of Ethics for Nurses, participation in a professional organization, and advancing community outreach.
- Seeks to develop effective communication skills and actively contributes to a healthy work environment
- Values recommendations of professional nursing organizations
- Actively contributes to a healthy work environment (refer to AACN Standards for Establishing and Sustaining Healthy Work Environments)
- Participates in shared decision-making and shared governance activities
- Participates in activities that promote the development and practice of nursing
- Uses appropriate channels of communication to voice concerns and identify solutions (such as shared governance) to maintain safety, quality and patient satisfaction
- Adheres to the ANA's Code of Ethics for Nurses and professional nursing/ organizational standards
- Articulates the application of and integrates high ethical standards and core values into everyday work activities
- Displays sound moral and ethical character and judgment, and promotes accountability
- Demonstrates willingness to learn and actively engage in personal, professional growth
- Establishes and follows through with personal goals that support unit, organizational, and Lucile Packard/ Stanford Children's Health goals and imperatives
- Participates in formal and informal peer review
- Actively seeks and accepts constructive feedback through supervisor and peer review
- Demonstrates responsibility for continued competency in nursing practice and develops insight through reflection, self-analysis, self-care, and life- long learning
- Participates in community outreach
- Uses appropriate channels of communication to voice concerns and identify solutions (such as shared governance)
- Displays sound moral and ethical character and judgment, and promotes accountability
- Supports decisions once they have been made and agreed upon, and adjusts practice accordingly
- Understands and maintains a current working knowledge of scope of practice as outlined by state Board of Nursing.
* LEADERSHIP - Effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem-solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Lucile Packard Children's Hospital/Stanford Children's Health.
- Supervises nursing care that is provided by others and for which the nurse is responsible, by using best practices of management, leadership, and evaluation
- Delegates and collaborates effectively to meet patient care needs
- Listens objectively to all sides of an issue before making a judgment
- Demonstrates engagement in unit and system initiatives
- Communicates thoughts, feelings, and ideas to justify a position
- Employs appropriate social skills
- Demonstrates ability to learn on the fly
- Develops conflict resolution skills for self and team members
- Initiates actions to resolve conflict
Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.
Education: Graduate from an accredited nursing program.
License/Certification:- Registered Nurse by California Board of Registered Nursing
- Basic Life Support by American Heart Association (AHA)
Experience: None required.
KNOWLEDGE These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education or licensure/certification.
* SKILL REQUIREMENTS-Ability to perform functions as described in the position description addendum according to the clinical level.
* MACHINE, TOOLS, AND EQUIPMENT OPERATED: Must be proficient in the operation of clinical equipment/machines, computers and technology within the nurse's practice setting.
* FISCAL ACCOUNTABILITY AND RESOURCE STEWARDSHIP: Judicious use of materials and supplies in the provision of direct and indirect patient care. Prevention of damage, misuse or loss of equipment in the provision of direct patient care.
* SUPERVISION: The Clinical Nurse may be responsible for guiding, assisting and directing unlicensed assistive personnel as defined by the California Nurse Practice Act and/or the organization's policies and procedures.
PHYSICAL REQUIREMENTS The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job.
Additional InformationPay Range Compensation is based on the level and requirements of the role.
Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data.
Typically, new team members join at the minimum to mid salary range.
Minimum to Midpoint Range (Hourly): $85.77 to $85.77
Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
